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目的 :对起源于额叶低级别胶质瘤广泛切除的可行性和治疗效果进行分析研究。方法 :对 1990年 10月～ 1998年 10月进行广泛切除的 19例额叶低级别胶质瘤进行回顾性分析 ,对手术切除的具体范围、界限、特殊情况进行了重点描述及总结。结果 :19例额叶低级别胶质瘤术后头颅CT或MRI检查肿瘤残存征象少见 ,术后除 5例病人出现近期记忆功能障碍 ,2例暂时性运动性失语外 ,均恢复良好 ,无严重神经功能障碍和死亡。结论 :额叶低级别胶质瘤可在保护额叶后部重要功能结构的前提下 ,通过手术广泛切除 ,对减少复发及延长患者的生存时间有重要意义。
Objective: To analyze the feasibility and therapeutic effect of extensive resection of low grade gliomas originated from the frontal lobe. Methods: Nineteen patients with low-grade frontal lobes underwent extensive resection from October 1990 to October 1998 were retrospectively analyzed. The specific scope, limits and special cases of surgical resection were mainly described and summarized. Results: Nineteen patients with low-grade glioma of the frontal lobe had rare tumor residual signs after CT or MRI. In addition, 5 patients showed short-term memory dysfunction and 2 cases of transient exercise-induced aphasia, both recovered well without serious Nerve dysfunction and death. Conclusion: Frontal lobe low-grade glioma can protect the frontal lobe of the important functional structure under the premise of extensive surgical excision, to reduce the recurrence and prolong the survival time of patients is important.